NPI | 1215102116 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH LYNN DELAP Business Manager 248-625-0030 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301040083) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |